Tetreault, Maryellen

Tetreault, Maryellen is an individual health care provider with primary practice located at 288 Lyman St , Westborough MA 01581-2664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tetreault, Maryellen can be contacted via phone (508) 475-2696.

Contact Information

Primary practice address
288 Lyman St Westborough MA 01581-2664
Phone: (508) 475-2696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2309070 Massachusetts

Profile Details

NPI number 1609410927
LBN Legal business name Tetreault, Maryellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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